• acute
  • Up to now, the validity of PetCO2 monitoring in estimating PaCO2 during an acute posttraumatic craniotomy has not been studied. (biomedsearch.com)
  • We can conclude that during an acute craniotomy in SHI pts, PetCO2 does not reflect accurately PaCO2 and the monitoring of adequacy of ventilation should be based on repeated or continuous measurements of an arterial PCO2. (biomedsearch.com)
  • MRIs have shown evidence of Kernohan's notch from patients with traumatic head injury that are related to acute space-occupying lesions such as subdural hematoma, epidural hematoma, depressed skull fracture, or spontaneous intracerebral hematoma. (wikipedia.org)
  • tumors
  • Being a tertiary referral center for south Florida, the Caribbean, Central America, and the rest of Latin America, the University of Miami treats a large number of patients affected by all types of brain tumors. (wikipedia.org)
  • After radiation treatments for vestibular schwannomas, patients must receive MRIs annually due to the possibility of recurrence of secondary tumors. (wikipedia.org)
  • For cases with cribriform plate involvement, tumors are resected bilaterally using a transfacial and craniotomy approach. (wikipedia.org)
  • The cause of dysosmia has not been determined but there have been clinical associations with the neurological disorder: Upper respiratory tract infection (URTIs) Nasal and paranasal sinus disease Toxic chemical exposure Neurological abnormalities Head trauma Nasal surgery Tumors on the frontal lobe or olfactory bulb Epilepsy Most of cases are described as idiopathic and the main antecedents related to parosmia are URTIs, head trauma, and nasal and paranasal sinus disease. (wikipedia.org)
  • Surgery
  • This device allows the patient to push a button to give pain medicine through an intravenous line and is frequently used for pain treatment after surgery and for other types of procedures. (clinicaltrials.gov)
  • To assess the ability of patient-controlled sedation/analgesia remifentanil-propofol to maintain appropriate levels of sedation and analgesia in commensuration with the needs of the surgery at different stages. (clinicaltrials.gov)
  • Primary Hypothesis: The use of a Precedex infusion, in addition to propofol during surgery, will improve patient management through the anesthesia postoperative recovery period determined by improvement in patients? (clinicaltrials.gov)
  • The use of Precedex for craniotomy surgery offers the potential for improved hemodynamic control and improved tolerance of the endotracheal tube, therefore potentially benefiting these patients. (clinicaltrials.gov)
  • Preoperatively, one of the most common questions asked by patients pertains to the amount of pain they will experience after surgery how long it will last and how good will it be controlled. (clinicaltrials.gov)
  • Patients in one group will receive 150 mg of PGL at 20:00 h the night before surgery and at 1.5 h before surgery, and will undergo surgery under general anesthesia (GA). (clinicaltrials.gov)
  • Lastly, despite being randomized, more patients in the craniectomy arm had unreactive pupils (after randomization but before surgery) than patients in the medical therapy arm, a potential confounding factor. (wikipedia.org)
  • Surgery may also be an option for patients. (wikipedia.org)
  • Patients are given the option for open surgery or minimally invasive procedures. (wikipedia.org)
  • Abdominal surgery Breast surgery Craniotomy Mastectomy Thoracic surgery Joint replacement (arthroplasty) The Jackson-Pratt Drain (informally referred to as the "brain drain") was named after its inventors Drs. Fredrick E. Jackson (Chief, Department of Neurosurgical Surgery, Naval Hospital, Camp Pendleton, CA) and Richard A. Pratt (Naval Hospital, Camp Pendleton, CA). First publications mentioning this device appeared in 1971 - 1972. (wikipedia.org)
  • In advanced stage esthesioneuroblastoma in pediatric patients, where surgery is no longer possible, aggressive chemotherapy and radiotherapy has resulted in some tumor control and long term survival. (wikipedia.org)
  • neurological
  • Recently, the investigators performed SITA in 2 MMCI patients who were qualified for decompressive craniectomy, but refused by patient relatives, and their neurological function significantly improved. (clinicaltrials.gov)
  • The modern history of SEPs began with George Dawson's 1947 recordings of somatosensory cortical responses in patients with myoclonus, a neurological condition characterized by abrupt, involuntary, jerk-like contractions of a muscle or muscle group. (wikipedia.org)
  • Of the patients who have their heart stopped seven to thirty percent leave the hospital with good neurological outcome (conscious, normal brain function, alert, capable of normal life). (wikipedia.org)
  • Neurological monitoring : Serial neurologic examination, assessment of comatose patients (Glasgow Coma Scale plus pupil or four score), ICP (subarachnoid hemorrhages, TBI, Hydrocephalus, Stroke, CNS infection, Hepatic failure), multimodality monitoring to monitor disease and prevent secondary injury in states that are insensitive to neurological exam or conditions confounded by sedation, neuromuscular blockade and coma. (wikipedia.org)
  • It is typically considered a neurological disorder and clinical associations with the disorder have been made. (wikipedia.org)
  • craniectomy
  • This was a randomized trial comparing decompressive craniectomy to best medical therapy run between 2002 and 2010 to assess the optimal management of patients with medically refractory ICP following diffuse non-penetrating head injury. (wikipedia.org)
  • The pooled evidence from three randomised controlled trials in Europe supports the retrospective observations that early (within 48 hours) application of decompressive craniectomy after "malignant" stroke may result in improved survival and functional outcome in patients under the age of 55, compared to conservative management alone. (wikipedia.org)
  • found a net 65% favorable outcomes rate in pediatric patients for accidental trauma after craniectomy when followed for more than five years. (wikipedia.org)
  • After a craniectomy, the risk of brain injury is increased, particularly after the patient heals and becomes mobile again. (wikipedia.org)
  • neurosurgical
  • The investigators hypothesize that the administration of PGL preemptively would diminish pain sensation, and therefore the need for pain administration in neurosurgical patients, better than postoperatively. (clinicaltrials.gov)
  • To assess the beneficial preemptive and preventive effects of PGL on the immediate and late (1- and 3 months) postoperative analgesia requirements and pain scores in neurosurgical patients. (clinicaltrials.gov)
  • The patient is then positioned in a neurosurgical head restraint that holds the head completely still and given general anesthesia. (wikipedia.org)
  • subdural hematoma
  • The interhemispheric subdural hematoma is a relatively uncommon type of subdural hematoma, especially seen in patients with blood clotting disturbances. (biomedsearch.com)
  • Case studies have shown that in patients with chronic subdural hematoma, a compressive deformity of the crus cerebri without an abnormal MRI signal may predict a better recovery in patients with Kernohan's notch. (wikipedia.org)
  • functional
  • Therefore, while the presence of symptoms may provoke further clinical investigation, symptoms independent of further data cannot-and should not-be interpreted as evidence of a cyst's existence, size, location, or potential functional impact on the patient. (wikipedia.org)
  • trauma
  • These patients have a history of head trauma with loss of consciousness, then a lucid period, followed by loss of consciousness. (wikipedia.org)
  • outcomes
  • While ICU optimization is no easy task, robust data and analytics can help unveil opportunities to improve care delivery and quality within this setting - ranging from identifying diagnoses with the greatest variation in outcomes to monitoring patients who no longer need ICU-level care within newly-created intermediate care settings. (businesswire.com)
  • Cortical
  • Because of their relatively large amplitude and low frequency compatible with a low sampling rate of A/D conversion, the cortical SEPs were the first studied in normal subjects and patients. (wikipedia.org)
  • Before removing any brain tissue, the patient is awakened and the neurosurgeon creates a cortical map, using a small electrical stimulation device to observe the changes in the patient's condition when an area is stimulated. (wikipedia.org)
  • Neurologic
  • Among patients with 1-4 brain metastases, recently published studies suggest that stereotactic radiation results in fewer neurologic side effects than whole brain radiation. (clinicaltrials.gov)
  • The unit Dr. Walker created showed a benefit to postoperative patients, than neurologic patients came to the unit. (wikipedia.org)
  • Admission criteria includes: Impaired consciousness, impaired ability to protect airway, progressive respiratory weakness, need for mechanical ventilation, seizure, Radiologic evidence of elevated ICP, monitoring of neurologic function in patients that are critically ill. (wikipedia.org)
  • Most neurocritical care units are a collaborative effort between neurointensivists, neurosurgeons, neurologists, radiologists, pharmacists, physician extenders (such as nurse practitioners or physician assistants), critical care nurses, respiratory therapists, rehabilitation therapists, and social workers who all work together in order to provide coordinated care for the critically ill neurologic patient. (wikipedia.org)
  • treatment
  • Phase III clinical trials examine the safety and effectiveness of a treatment, often comparing it to another known treatment. (clinicaltrials.gov)
  • Conservative management is the treatment of choice for patients without disturbances of consciousness and for patients with stable clinical conditions. (biomedsearch.com)
  • At present, there is no effective treatment except for craniotomy decompression, but the controversy of the craniotomy decompression still exists. (clinicaltrials.gov)
  • Craniotomies are often critical operations, performed on patients who are suffering from brain lesions or traumatic brain injury (TBI), and can also allow doctors to surgically implant deep brain stimulators for the treatment of Parkinson's disease, epilepsy, and cerebellar tremor. (wikipedia.org)
  • This treatment is tailored to newly diagnosed patients with glioblastoma multiforme, and aims to activate the patients's immune system against the tumor antigen to prevent recurrence using HSPPC-96. (wikipedia.org)
  • Glioblastoma (grade IV glioma) Anaplastic astrocytoma (grade III glioma) Low-grade astrocytoma (grade II glioma) Pilocytic astrocytoma (grade I glioma) Oligodendroglioma Ependymoma Mixed Glioma Glioma treatment depends on the clinical and pathological presentation of the tumor. (wikipedia.org)
  • Treatment may be conservative depending on the clinical presentation and the physician decision. (wikipedia.org)
  • Dysosmia tends to go away on its own but there are options for treatment for patients that want immediate relief. (wikipedia.org)
  • malignant
  • The graver course is one form of malignant multiple sclerosis, with patients reaching a significant level of disability in less than five years from their first symptoms, often in a matter of months. (wikipedia.org)
  • Trial
  • Trial registration number Chinese Clinical Trial Registry (registration number ChiCTR-TRC-10001078). (bmj.com)
  • Roberto C. Heros MD Ronald Benveniste MD PhD Jonathan Jagid MD Ricardo J. Komotar MD Howard Landy MD Jacques Morcos MD New clinical trial is being explored at select and distinguished medical centers including Johns Hopkins Hospital, Columbia University Medical Center, University of California San Francisco, University of Miami and a few others. (wikipedia.org)
  • Only propranolol has been compared to primidone in a clinical trial. (wikipedia.org)
  • general
  • Patients will be randomized to receive either a remifentanil or dexmedetomidine infusion for general anesthesia. (clinicaltrials.gov)
  • In general, a craniotomy will be preceded by an MRI scan which provides an image of the brain that the surgeon uses to plan the precise location for bone removal and the appropriate angle of access to the relevant brain areas. (wikipedia.org)
  • Stereotactic
  • Stereotactic radiation is the standard option for patients with 1-4 brain metastases. (clinicaltrials.gov)
  • It remains unknown whether stereotactic radiation improves quality of life in patients with 5-20 brain metastases relative to whole brain radiation. (clinicaltrials.gov)
  • Given that brain tissue necrosis-induced edema and cerebral herniation is the key reason of fatality and disability of MMCI patients, the investigators argue that the reduction of cerebral tissue volume by stereotactic infarct tissue aspiration (SITA) is likely to reach the decompression effect similar to the DC. (clinicaltrials.gov)
  • In stereotactic radiosurgery (SRS), the word "stereotactic" refers to a three-dimensional coordinate system that enables accurate correlation of a virtual target seen in the patient's diagnostic images with the actual target position in the patient. (wikipedia.org)
  • Technological improvements in medical imaging and computing have led to increased clinical adoption of stereotactic radiosurgery and have broadened its scope in the 21st century. (wikipedia.org)
  • seizures
  • In 1935 Gibbs, Davis and Lennox described interictal spike waves and the three cycles/s pattern of clinical absence seizures, which began the field of clinical electroencephalography. (wikipedia.org)
  • About 50% of patients with an unprovoked apparent "first seizure" have had other minor seizures, so their diagnosis is epilepsy. (wikipedia.org)
  • However
  • however, it was associated with improved patient satisfaction regarding overall pain control. (ovid.com)
  • However, most patients come into the clinic citing symptoms associated with the primary injury causing the Kernohan's notch. (wikipedia.org)
  • However these patients do not exhibit any other Marfan syndrome presentations. (wikipedia.org)
  • symptoms
  • Nineteen patients who presented with clinical symptoms of a possible CVST were included. (ajnr.org)
  • A data base search was performed to identify all patients who presented at our hospital with clinical signs and symptoms suggestive of a thrombotic occlusion of the cerebral veins or sinuses between June 2002 and December 2005. (ajnr.org)
  • Patients with arachnoid cysts may never show symptoms, even in some cases where the cyst is large. (wikipedia.org)
  • A patient with a cyst on the left middle cranial fossa had auditory hallucinations, migraine-like headaches, and periodic paranoia Patients with left temporal lobe cysts had mood disturbances similar to manic depression (bipolar disorder) and were known to show outward aggression Patients with arachnoid cysts may never show symptoms, even in some cases where the cyst is large The exact cause of arachnoid cysts is not known. (wikipedia.org)
  • pain
  • Local anaesthesia (freezing) and sedation are required to make the patient comfortable and free of pain, but also to be able to cooperate for testing of brain function (speaking, moving) in order to preserve these areas while removing the brain tumour. (clinicaltrials.gov)
  • The amount of sedation and analgesia (pain killer) is individually tailored to each patient as each person has different requirements. (clinicaltrials.gov)
  • The usual way to give these medications is by the anesthesiologist assessing pain level, watching the patient and monitoring blood pressure and heart rate. (clinicaltrials.gov)
  • Proper pain relief is a major concern of patients worldwide. (clinicaltrials.gov)
  • Newswise - SAN FRANCISCO (April 9, 2014) -Studies have shown that pain management in craniotomy patients is difficult. (newswise.com)
  • joint
  • Roughly 20% of patients with SCSFLS exhibit features of Marfan syndrome, including tall stature, hollowed chest (pectus excavatum), joint hypermobility and arched palate. (wikipedia.org)
  • physician
  • Dr. Bjørn Aage Ibsen, a physician in Denmark, "birthed the intensive care unit", when he used tracheostomy and positive pressure manual ventilation to keep polio patients alive in the setting of an influx of patients and limited resources (only one iron Lung). (wikipedia.org)